nursing home in Sylva, NC
Skyland Care Center
193 Asheville Highway, Sylva, NC 28779 · (828) 586-8935
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Skyland Care Center at a glance
Skyland Care Center is a 94-bed for-profit nursing home in Sylva, North Carolina (Jackson County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the North Carolina average of 2.9.
Residents receive about 3.5 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (January 23, 2026) found 0 health citations. The North Carolina average is 4.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 46% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 94
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- September 3, 1991
- Resident/family council
- Both
- County
- Jackson County
- CMS Certification Number
- 345400
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.51 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.56 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.20 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.96 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 46% | 49% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 31.3% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 6 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 94 | 105 | 107 | |
| Average residents per day | 90 | 87 | 86 | |
| Occupancy | 96.2% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.8% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.1% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 11% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 5.6% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.8% | 0.7% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 31.7% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21.2% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 10% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.4% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 23.8% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 97.6% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 94.2% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 82.6% | 78.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 62.6% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 23, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected April 8, 2026 |
| January 23, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 8, 2026 |
| January 23, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 8, 2026 |
| January 23, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 8, 2026 |
| November 21, 2024 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | D Potential harm, isolated | Corrected January 27, 2025 |
| November 21, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 6, 2024 |
| November 21, 2024 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 4, 2024 |
| November 21, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected March 31, 2024 |
| June 30, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected August 21, 2023 |
| June 30, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 21, 2023 |
| June 30, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected August 21, 2023 |
| June 30, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected July 18, 2023 |
| June 30, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected July 18, 2023 |
| June 30, 2023 Standard | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected July 18, 2023 |
| June 30, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected July 18, 2023 |
| June 30, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected July 18, 2023 |
| June 30, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 18, 2023 |
| June 30, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected July 18, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| COOLEY, MISTIE Individual | 5% or greater direct ownership interest | 49% | 10/01/2013 |
| GATEWOOD, THOMAS Individual | 5% or greater direct ownership interest | 51% | 10/01/2016 |
| DILLS, MELISSA Individual | adp of the snf | NOT APPLICABLE | 12/16/2022 |
| VARGAS, CARLOS Individual | adp of the snf | NOT APPLICABLE | 08/01/2012 |
| COOLEY, MISTIE Individual | corporate officer | NOT APPLICABLE | 10/01/2013 |
| GATEWOOD, THOMAS Individual | corporate officer | NOT APPLICABLE | 10/01/2003 |
| COOLEY, MISTIE Individual | managing control - governing body | NOT APPLICABLE | 10/01/2013 |
| GATEWOOD, THOMAS Individual | managing control - governing body | NOT APPLICABLE | 10/01/2003 |
| COOLEY, MISTIE Individual | operational/managerial control | NOT APPLICABLE | 10/01/2013 |
| DILLS, MELISSA Individual | operational/managerial control | NOT APPLICABLE | 12/16/2022 |
| VARGAS, CARLOS Individual | operational/managerial control | NOT APPLICABLE | 08/01/2012 |
Other nursing homes near Skyland Care Center
Vero Health & Rehab of Sylva
417 Cloverdale Road, Sylva, NC 28779 · under 1 mi
For-profit · 106 beds · Part of Regional Health Properties
- Special Focus candidate
★★★★★1Much below averageTsali Care Center
267 Tsali Care Way, Cherokee, NC 28719 · 9.9 mi
Non-profit · 100 beds
- Special Focus candidate
★★★★★2Below averageMaggie Valley Health and Rehabilitation Center
75 Fisher Loop, Maggie Valley, NC 28751 · 11.6 mi
For-profit · 114 beds
★★★★★2Below averageAutumn Care of Waynesville
360 Old Balsam Road, Waynesville, NC 28786 · 12.7 mi
For-profit · 90 beds · Part of Saber Healthcare Group
★★★★★1Much below averageMountain View of Bryson City
410 Buckner Branch Road, Bryson City, NC 28713 · 14.7 mi
For-profit · 120 beds
★★★★★1Much below averageSkyland Terrace and Rehabilitation
516 Wall Street, Waynesville, NC 28786 · 15.3 mi
For-profit · 90 beds
★★★★★4Above average
Frequently asked questions
What is Skyland Care Center's rating?
Skyland Care Center has 4 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Skyland Care Center receive?
Its most recent standard health inspection found 0 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Skyland Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Skyland Care Center?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Skyland Care Center and how do I contact it?
Skyland Care Center is at 193 Asheville Highway, Sylva, NC 28779. Phone: (828) 586-8935.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.